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Research ArticleImaging

The Effect of an Asymmetric Energy Window on Bone Scintigraphy Image Quality

Joana do Mar F. Machado, Susan Doshi, Ruth Smith, Martyn Evans, Richard N.J. Graham, Stewart Redman and David Little
Journal of Nuclear Medicine Technology March 2020, 48 (1) 46-50; DOI: https://doi.org/10.2967/jnmt.119.233577
Joana do Mar F. Machado
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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Susan Doshi
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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Ruth Smith
2Auckland District Health Board, Auckland City Hospital, Grafton, Auckland, New Zealand
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Martyn Evans
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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Richard N.J. Graham
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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Stewart Redman
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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David Little
1Nuclear Medicine Department, Royal United Hospitals Bath, Combe Park, Avon, United Kingdom; and
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  • FIGURE 1.
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    FIGURE 1.

    γ-spectrum and photopeak parameters of 99mTc isotope using SW (A) and ASW (B) recorded during whole-body bone scintigraphy. Screenshots are from GE Healthcare Discovery NM/CT 670 workstation.

  • FIGURE 2.
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    FIGURE 2.

    SW (left) and ASW (right) whole-body bone scintigraphy in breast cancer patient with coexistence of bone metastases. Widespread foci of abnormal tracer activity are seen within skull, thoracic spine, ribs, shoulders, lumbar spine, and proximal femora in keeping with widespread bony metastatic disease. All readers rated ASW as preferred but not clinically important.

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    FIGURE 3.

    SW (left) and ASW (right) whole-body bone scintigraphy in breast cancer patient. Thoracolumbar junction region shows minor increased uptake that appears to correlate with degenerative change seen on radiography at T12–L1. One reader rated ASW as preferred but not clinically important. Another reader rated SW as preferred and clinically important because it potentially improves assessment of lumbar spine. Third reader rated neither as preferred.

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    FIGURE 4.

    Bar graph comparing the pairs of images for all 58 patients. Results are expressed as radiologists 1, 2, and 3 against different imaging scores.

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    FIGURE 5.

    Bar graph comparing the pairs of images according to patient BMI. Results are expressed as BMI intervals against different imaging scores.

Tables

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    TABLE 1

    Five-Point Scoring System

    Result of comparisonScore
    ASW better (clinically important)1
    ASW better (not clinically important)2
    Neither preferred3
    SW better (not clinically important)4
    SW better (clinically important)5
    • View popup
    TABLE 2

    Percentages of Comparison Scores for 3 Independent Readers

    ASW betterSW better
    RadiologistClinically importantNot clinically importantNeither preferredNot clinically importantClinically important
    172266100
    275724.1120
    30722430
    Overall2.950.637.98.60
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Journal of Nuclear Medicine Technology: 48 (1)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 1
March 1, 2020
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The Effect of an Asymmetric Energy Window on Bone Scintigraphy Image Quality
Joana do Mar F. Machado, Susan Doshi, Ruth Smith, Martyn Evans, Richard N.J. Graham, Stewart Redman, David Little
Journal of Nuclear Medicine Technology Mar 2020, 48 (1) 46-50; DOI: 10.2967/jnmt.119.233577

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The Effect of an Asymmetric Energy Window on Bone Scintigraphy Image Quality
Joana do Mar F. Machado, Susan Doshi, Ruth Smith, Martyn Evans, Richard N.J. Graham, Stewart Redman, David Little
Journal of Nuclear Medicine Technology Mar 2020, 48 (1) 46-50; DOI: 10.2967/jnmt.119.233577
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Keywords

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